Tuesday, December 20, 2011

Sleep, Circadian Rhythms, and Weight Loss

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

Is there a standard amount of sleep folks need?  I typically sleep 5.5-6 hours per night and have for years.  I do feel better with more but do not noticeably function better (may just be years of kidding myself).  


It does seem easier to lose weight when sleeping more (diet and exercise staying constant).  Does this make any sense or is it my imagination?

Gender: Male

How old are you?: 46


Check all symptoms you are currently experiencing:
None of these
No medications

Are you currently using or do you have a history of tobacco use?: Yes
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Weekly

TOP THREE QUESTIONS:

typical need for sleep
short term impact of lack of sleep
recovery from lack of sleep (1 nights good rest, more?)
__________________________

So Joe,

Your question is very complex. The issue about 'how much sleep is enough' does tend to vary from individual to individual and we are not sure why. First, let me point you to THIS SITE, which is, at least, an interesting read.

Two highlights from this site....

"
Though scientists are still learning about the concept of basal sleep need, one thing sleep research certainly has shown is that sleeping too little can not only inhibit your productivity and ability to remember and consolidate information, but lack of sleep can also lead to serious health consequences and jeopardize your safety and the safety of individuals around you.

For example, short sleep duration is linked with:

Increased risk of motor vehicle accidents
Increase in body mass index – a greater likelihood of obesity due to an increased appetite caused by sleep deprivation
Increased risk of diabetes and heart problems
Increased risk for psychiatric conditions including depression and substance abuse
Decreased ability to pay attention, react to signals or remember new information

According to researchers Michael H. Bonnet and Donna L. Arand, "There is strong evidence that sufficient shortening or disturbance of the sleep process compromises mood, performance and alertness and can result in injury or death. In this light, the most common-sense 'do no injury' medical advice would be to avoid sleep deprivation.
"

And on the other hand....

"
 ...some research has found that long sleep durations (nine hours or more) are also associated with increased morbidity (illness, accidents) and mortality (death). Researchers describe this relationship as a "U-shaped" curve (see illustration) where both sleeping too little and sleeping too much may put you at risk. This research found that variables such as low socioeconomic status and depression were significantly associated with long sleep. Some researchers argue that these other variables might be the cause of the longer sleep: the fact that individuals with low socioeconomic status are more likely to have undiagnosed illnesses because of poor medical care explains the relationship between low socioeconomic status, long sleep and morbidity/mortality. Researchers caution that there is not a definitive conclusion that getting more than nine hours of sleep per night is consistently linked with health problems and/or mortality in adults, while short sleep has been linked to both these consequences in numerous studies.
"

And as to the weight and sleep part of your question, well, that's a rat's nest indeed, but, as you may guess, there does appear to be a link between not-enough sleep, and obesity. THIS LINK here is pretty in depth and gets all doctor-y, but you will get the idea.

And to open another can of worms, there is a raft of medical evidence out there on CIRCDADIAN DISRUPTION... jet lag if you will.... rotating shift work.... Bottom line. It sucks. In fact, it's probably the main reason that I will pay to get out of night shifts in the ER.

More to follow.... this is hard to do on an Iphone.

Saturday, December 17, 2011

A Circular, Growing Rash

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

I noticed a red spot on my leg, about 4" in diameter, about 45 minutes ago. The spot is hot to touch, bright red, and at first felt like a "charlie horse" then began to burn. It's a deep burning feeling, with an occasional sharp pain, located about 2" above my knee. I have checked for bites, and see no holes of any kind in the area. I do have a lot of spider veins, and have felt them pop at times, but the pain is usually sudden and gone quickly. I have marked the area on my leg and it seems to be growing in size, and heat following it. I spent today cleaning my floors with long pants on and in an "Indian style" position. I have put ice, and wrapped it while elevated. Not sure what this could be. Any insights docs?
P.S Started today...45 minutes ago


Gender: Female
How old are you?: 46
How long has this been going on?: A few days
Check all symptoms you are currently experiencing:
Rash

What have you done so far to remedy this condition? Please include tests and relevant studies here.
: RICE... Rest, ice, compression, elevate...

Check all that apply to you or your immediate family (parents, siblings, grandparents):
Cancer
Diabetes
Stroke

Are you currently using or do you have a history of tobacco use?: Yes
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Occasional

So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.

What is it?
How do I fix it?
What will prevent this from happening again?


__________________________________________________________________

Trying to get this up for you quickly because I think your question demands a quick response. If the rash is painful, red, warm, and growing you need to be seen tonight. The possibility that this is a MRSA cellulitis.... a skin infection from a dangerous bacteria is there. This COULD be a bite as some insects and spiders have a venom that is also anesthetic-like, so it doesn't hurt. And the bottom line is that we have no idea what this is... it's nightime.... and you will do yourself a big favor if you go NOW to the ER rather than wait this out, because all indications are that this is a rapidly progressive infection.

MDSTAT ER DOC 1

Friday, December 16, 2011

"Chyle" and Serum Cholesterol

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

Ask your medical question here. : Chyle...this is the condition I was told I have. Can you please tell me if there is anything I should be worried about and if so, is there a cure?

My cholesterol is 205
LDL 102
HDL 89

I'm in pretty good shape and my wife makes me eat all the things that are good for me...which I hate. She's pretty mean. I even have to do the dishes...but I digress.


Gender: Male

How old are you?: 46

What have you done so far to remedy this condition? Please include tests and relevant studies here.
: just found out about it. Not sure what I need to change

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): Are you serious? That could take a week!

Check all that apply to you or your immediate family (parents, siblings, grandparents):
None of these

Are you currently using or do you have a history of tobacco use?: Yes

Please describe your alcohol consumption :: Occasionally

So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.


Is this harmful as in...am I going to die?
Is it curable?
Should I be worried all that much?


__________________________________________________________

Thanks for your question!

These numbers by themselves look quite good. The HDL is great and the LDL is not too bad.... Total cholesterol is slightly high and that's why it is very important to know what your other medical problems are. For instance, if you have diabetes these numbers may need to come down a bit so that you can be properly protected from heart disease. If you are otherwise healthy these numbers are very reassuring. Please let us know in the comment section if you have any chronic medical problems.
MDSTAT_ER_DOC1

__________________________________________________________


I have not seen a response from you sir so let me expand a little bit on your question. To begin with, there are clinical entities that have to do with the accumulation of "Chyle", and these are fairly rare, and are also difficult to treat because they are often associated with Cancer. Just as an example see this LINK here on a chylous effusion in the pulmonary space.

So you can see my confusion.... You tell me you have a condidtion called 'Chyle' and then ask about your cholesterol levels. But IF your question really pertains to cholesterol levels then  my original answer is a solid one, but let me refer you to a good link where the cholesterol issue is explained in simple detail.

"Cholesterol"

Again, if you have further questions please ask them in the comment section below.

MD_STAT_ERDOC_!





Wednesday, December 14, 2011

"Heartburn?"

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.
The email to which we should send notification of your answer: xxxxxxxxxxxx

About once every 60 - 90 days I get heartburn. It is very painful.  I take Target Brand "Antacid tablets" (750mg Calc Carb). But they essentially do nothing. So I take more than the reccomended dosage 1.5 - 2 times the amount (the bottle says 2-4 pills as symptoms occur) I will take 6 - 8 initially.  But because it doesnt do anything I am always tempted to take more if the pain intensifiys.  I usually dont keep track.  I just groan in pain and grab the bottle as quickly as I can and take another tablet.


The bottle says no more than 10 tablets in 24 hrs.


So I have 2 questions.  What happens if you "overdose" on Calcium Carbonate.  (Do you get constipated, do you die, or something in between).  Also, I figure that dosages listed on bottles sold to the general public have to be very conservative, so for a healthy male in his early 40s you could probably double the amount to be entering the risk zone - I am I being a complete idiot? (I know you have to be very careful about what you say in this public forum, but please dont give me the legal answer that I should do just what the manufacturer reccomends, give me the medical one.  If you cant give me a straight answer please just recuse yourself and tell me you feel it would be imprudent to answer). One last thing, assuming I cant down awhole bottle, what else can I do? Some things I have done in the past are sip water to keep acid down, sip milk to keep acid down and neutralize it a bit, eat bread to absorb the acid, writhe around on the floor.

Gender: Male
How old are you?: 41
How long has this been going on?: More than a year
Check all symptoms you are currently experiencing:
Abdominal Pain
Describe associated symptoms not listed above: None
What have you done so far to remedy this condition? Please include tests and relevant studies here.
: Nothing
Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): Lacerations (kidding - none really)
Check all that apply to you or your immediate family (parents, siblings, grandparents):
None of these
Please list any medication allergies that you have : : None
Please list any medications you are currently taking (and dosage if known) :: None
When was your last menstrual cycle?: I'm a man, baby!
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Never


So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.
: The effects of levels of overdose are the top priority, 2nd would be what else I can do do stop the pain, 3rd priority is what is the dosage that would cause a "real" overdose (vs what the label says) is an overdose).

Tuesday, December 13, 2011

Blood in the Toilet

 I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

Ask your medical question here. : My mother has just been to the bathroom and it is bright red blood. It is as if she is on her cycle. Her belly has not been hurting or has this ever happened before. What could it be?

Gender: Female

How old are you?: 49

How long has this been going on?: A few days

Check all symptoms you are currently experiencing:
Diarrhea

Describe associated symptoms. Her belly has not been hurting or has this ever happened before. What could it be?

Describe associated symptoms not listed above: just went to the bathroom today and that is when it started. Has happened two times already. back to back

What have you done so far to remedy this condition? Please include tests and relevant studies here.
: nothing

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): High blood pressure diabeties high chol

Check all that apply to you or your immediate family (parents, siblings, grandparents):
Diabetes
Hypertension

Please list any medication allergies that you have : : Please do not list any medicines you merely dislike. True allergies produce hives and other symptoms. An upset stomach is not an allergy to a medicine. Thanks!

Please list any medications you are currently taking (and dosage if known) :: Also, please tell us if there is medicine you are supposed to be taking but are not. Thanks!

When was your last menstrual cycle?: 2 weeks ago
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Never

HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: Within 8 hours
So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.
: possible causes, what it is, and how to prevent it

Sunday, December 11, 2011

Devic's Disease and It's Relation to Multiple Sclerosis

8 minutes ago

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE. *
Yes, I agree.
The email to which we should send notification of your answer * XXXXXXXXXXXXXXXX

Ask your medical question here. *
how simalar is Devics disease compaired to MS? I know the treatment is somewhat different. My sister has been dx maybe 2 years.
Gender
Male
How old are you? *
41
How long has this been going on? *
More than a year
Check all symptoms you are currently experiencing
  • Eye
Describe associated symptoms not listed above
the only symptom she is having now is reoccuring optic neuritis.
What have you done so far to remedy this condition? Please include tests and relevant studies here.
Results of blood tests and Xrays can go here. Results of consultations with specialists as well.
Please list any medication allergies that you have : *
Please do not list any medicines you merely dislike. True allergies produce hives and other symptoms. An upset stomach is not an allergy to a medicine. Thanks!
Please list any medications you are currently taking (and dosage if known) :
Also, please tell us if there is medicine you are supposed to be taking but are not. Thanks!
When was your last menstrual cycle? *
Now
Are you currently using or do you have a history of tobacco use?
No
Are you currently using or do you have a history of illegal drug use?
No
HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED? *
Within the next few days
So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.
*
difference in the two diseases and life expectancy.





Saturday, December 10, 2011

The Vanishing Penis?

Ask your medical question here. *
MD STAT is an educational service. We do not prescribe medication. We do not enter into a doctor-patient relationship with you. We explain, educate, clarify, and suggest possible solutions to your medical questions. Thank you for your interest.

I am 43 years old and my penis seems to be shriinking. Why?
Gender
Male
How old are you? *
43
How long has this been going on? *
A week or two
Check all symptoms you are currently experiencing *
  • Genitourinary
Describe associated symptoms not listed above
You may also use this area to further explain symptoms checked above.

This is causing problems with my marriage.
What have you done so far to remedy this condition? Please include tests and relevant studies here.
Results of blood tests and Xrays can go here. Results of consultations with specialists as well.
Please list any chronic medical problems and also list any prior surgery (lacerations don't count!) *
none
Check all that apply to you or your immediate family (parents, siblings, grandparents)
  • Cardiac Disease
  • Psychiatric Disorders
Please list any medication allergies that you have : *
Please do not list any medicines you merely dislike. True allergies produce hives and other symptoms. An upset stomach is not an allergy to a medicine. Thanks!

none
Please list any medications you are currently taking (and dosage if known) :
Also, please tell us if there is medicine you are supposed to be taking but are not. Thanks!

gingo boloba
When was your last menstrual cycle? *
I'm a man, baby!
Are you currently using or do you have a history of illegal drug use?
No
Please describe your alcohol consumption :
Occasionally
HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED? *
Within the next few days
So that we can serve you best, please try to tell us your top three things you wish to be addressed in our response. You will likely get more than you ask for, but we wish to understand your priorities.
*
Does this question even make sense?

Is there anything obvious about this problem?

What kind of doctor should I see regarding this problem?